Workhorse Flaps for Management of Soft Tissue Defects of the Dorsum of the Hand | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 6, Volume 47, Issue 1, January 2023, Pages 29-36 PDF (13.82 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.284333 | ||
| Authors | ||
| Mostafa Ibrahim* 1; Khaled M AbdelAzeem1; Wael Sakkr1; Emad M Elsayed1; Mohamed A Korany2; Mohamed R Quraney3 | ||
| 1The Department of Plastic Surgery, Faculty of Medicine, Beni-Suef University; Egypt | ||
| 2The Department of General Surgery, Faculty of Medicine, Beni-Suef University; Egypt | ||
| 3The Department of Plastic Surgery, Beni-Suef Insurance Hospital; Egypt | ||
| Abstract | ||
| Background: The dorsum of the hand is a very specialized region with thin and fragile skin characterized by poor subcutaneous tissue. Aim and Objectives: The work aimed to introduce methods of reconstruction of the soft tissue defects of the dorsum of the hand and wrist with exposed tendons, joints, nerves, and bones and compare these methods for each region. Patients and Methods: This prospective clinical study was carried out on 30 patients who presented with soft tissue defects of the dorsum of the hand and exposed vital structures. Patients were treated with dorsum hand reconstruction using different pedicle flaps, either local, regional, or distant flaps, from October 2018 to March 2021. Patients will be selected from the Emergency Unit of The Plastic Surgery Department, Beni-Suef University and Beni-Suef Medical Insurance Hospital. Results: Patient satisfaction raged from 70% to 97%, and the mean patient satisfaction (Mean ± standard deviation) was 86.73±7.08. Conclusion: There are multiple options available for the reconstruction of soft tissue defects of the dorsum of the hand. The main goal of reconstruction is to provide thin, pliable skin that permits mobility. The reconstructive strategy depends on the location and size of the defect, the presence of concomitant digital defects, the need for staged procedures, and available resources. | ||
| Keywords | ||
| Dorsum; Hand; Flap; Reconstruction; Soft tissue defects | ||
| References | ||
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